Organization · Type 2 NPI
Individual Advocacy Group
Adult Mental Health Clinic/Center · East Moline, IL
NPI number
1659653319
Active
Practice location
4366 Kennedy Dr
East Moline, IL 61244-4250
Mailing address
1289 Windham Pkwy
Romeoville, IL 60446-1763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 150.013257 (IL) |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
5 other providers at this address
- Gorantla Govindaiah, M.d., S.c.Health Service Clinic/Center East Moline, IL NPI 1023222502
- Sujatha Govindaiah, M.d., S.c.Adult Mental Health Clinic/Center East Moline, IL NPI 1700090271
- Agra Vinaude, LPCProfessional Counselor East Moline, IL NPI 1669880076
- Amber Spiva, BCBABehavior Analyst East Moline, IL NPI 1649148867
- Judith Ann Augsburger, LCPCProfessional Counselor East Moline, IL NPI 1780988899
Other adult mental health clinic/center providers in East Moline
About NPI 1659653319
Individual Advocacy Group's National Provider Identifier is 1659653319, issued on Sep 19, 2011. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in East Moline, IL. The record was last updated on Mar 26, 2021.